Baxter, Shanta v. Federal Express Corp. , 2021 TN WC 204 ( 2021 )


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  •                                                                                   FILED
    Jul 21, 2021
    02:02 PM(CT)
    TENNESSEE COURT OF
    WORKERS' COMPENSATION
    CLAIMS
    TENNESSEE BUREAU OF WORKERS’ COMPENSATION CLAIMS
    IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
    AT MURFREESBORO
    SHANTA BAXTER,                              ) Docket No. 2020-05-0697
    Employee,                           )
    v.                                          )
    )
    FEDERAL EXPRESS CORP.,                      ) State File No. 98745-2017
    Employer,                           )
    and                                         )
    )
    AGRI GENERAL INS. CO.,                      ) Judge Dale Tipps
    Insurance Carrier.              )
    EXPEDITED HEARING ORDER DENYING BENEFITS
    This case came before the Court on July 20, 2021, for an Expedited Hearing on
    whether Ms. Baxter is likely to prove at a hearing on the merits that she is entitled to
    psychiatric treatment. To receive these benefits, she must show that her panel physician
    made a referral and that her need for the requested treatment arose primarily out of and in
    the course and scope of her employment. The Court holds that Ms. Baxter was unable to
    meet this burden and denies the requested benefits at this time.
    History of Claim
    Ms. Baxter suffered shoulder and arm injuries while working for FedEx on
    December 18, 2017. FedEx accepted the claim as compensable and provided medical
    benefits, including treatment for cervical pain, by panel physician Dr. Colin Crosby.
    On August 2, 2019, Dr. Crosby placed Ms. Baxter at maximum medical
    improvement. He concluded his note with the following: “She is having psychological
    stress due to the failure of her to improve from her work-related injury and has requested
    to see a psychiatrist which is reasonable.”
    Ms. Baxter testified that FedEx initially authorized psychiatric treatment but then
    denied it before she could attend an appointment. She claimed she is still suffering from
    anxiety and asked to see Dr. Keith Caruso.
    FedEx responded that Ms. Baxter is not entitled to the requested treatment because
    her physical injuries were gradually occurring, and a mental injury that is the result of
    gradual events is not compensable. It also argued that the statutory definition of “injury”
    specifically excludes a “psychological or psychiatric response due to the loss of
    employment or employment opportunities.”
    Findings of Fact and Conclusions of Law
    In this expedited hearing, Ms. Baxter must provide sufficient evidence from which
    this Court might determine she is likely to prevail at a hearing on the merits. See 
    Tenn. Code Ann. § 50-6-239
    (d)(1) (2020); McCord v. Advantage Human Resourcing, 2015 TN
    Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
    Ms. Baxter seeks an order for psychiatric treatment. Tennessee Code Annotated
    section 50-6-204(h) provides: “All psychological or psychiatric services available under
    subdivisions (a)(1) and (b)(1) shall be rendered only by psychologists or psychiatrists and
    shall be limited to those ordered upon the referral of physicians authorized under
    subdivision (a)(4).” As the Appeals Board noted in Beech v. G4S Secure Solutions (USA),
    2020 TN Wrk. Comp. App. Bd. LEXIS 71, at *9 (Dec. 16, 2020), this means the only issue
    before the Court at this stage is “whether [Ms. Baxter] came forward with sufficient proof
    from which the trial court could conclude a panel-selected treating physician made a
    referral to a specialist.”
    The only proof before the Court on this issue is a single sentence from Dr. Crosby:
    “She is having psychological stress due to the failure of her to improve from her work-
    related injury and has requested to see a psychiatrist which is reasonable.” The question
    then is whether this statement constitutes a “referral” under section 50-6-204(h). The Court
    finds that it does not.
    A plain reading of Dr. Crosby’s comment shows that, at most, Ms. Baxter requested
    to see a psychiatrist, and that the doctor felt the request was reasonable. In view of the
    statute’s very specific referral requirement, Dr. Crosby’s mere agreement with the
    reasonableness of Ms. Baxter’s desire to see a psychiatrist is insufficient to require FedEx
    to provide a panel. The Court is not suggesting that any specific phrase or wording is
    required, but a doctor noting the reasonableness of a patient’s request does not constitute
    an affirmative, intentional referral.
    Therefore, without additional medical proof, Ms. Baxter has not shown she is likely
    to succeed on a claim for psychiatric treatment.
    IT IS, THEREFORE, ORDERED as follows:
    1. Ms. Baxter’s claim against FedEx for additional medical benefits is denied at this
    time.
    2. This case is set for a Scheduling Hearing on September 16, 2021, at 9:00 a.m. The
    parties must call toll-free at 855-874-0473 to participate. Failure to call might result
    in a determination of the issues without your further participation. All conferences
    are set using Central Time.
    ENTERED July 21, 2021.
    _____________________________________
    Judge Dale Tipps
    Court of Workers’ Compensation Claims
    APPENDIX
    Exhibits:
    1. Ms. Baxter’s Affidavit
    2. Dr. Samuel Crosby’s October 31, 2019 progress note
    3. Dr. Colin Crosby’s August 2, 2019 progress note
    4. Medical appointment documents
    Technical record:
    1. Petition for Benefit Determination
    2. Dispute Certification Notice
    3. Request for Expedited Hearing
    4. FedEx’s Pre-Expedited Hearing Statement
    CERTIFICATE OF SERVICE
    I certify that a copy of the Expedited Hearing Order was sent as indicated on July
    21, 2021.
    Name                     Certified   Fax    Email    Service sent to:
    Mail
    Shanta Baxter,              X                 X      3000 Windsor Drive
    Employee                                             Columbia, TN 38401
    shayb301@yahoo.com
    James Tucker,                                 X      jtucker@manierherod.com
    Employer’s Attorney                                  cc: dstevens@manierherod.com
    ______________________________________
    PENNY SHRUM, COURT CLERK
    wc.courtclerk@tn.gov
    NOTICE OF APPEAL
    Tennessee Bureau of Workers’ Compensation
    www.tn.gov/workforce/injuries-at-work/
    wc.courtclerk@tn.gov | 1-800-332-2667
    Docket No.: ________________________
    State File No.: ______________________
    Date of Injury: _____________________
    ___________________________________________________________________________
    Employee
    v.
    ___________________________________________________________________________
    Employer
    Notice is given that ____________________________________________________________________
    [List name(s) of all appealing party(ies). Use separate sheet if necessary.]
    appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the
    Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file-
    stamped on the first page of the order(s) being appealed):
    □ Expedited Hearing Order filed on _______________ □ Motion Order filed on ___________________
    □ Compensation Order filed on__________________ □ Other Order filed on_____________________
    issued by Judge _________________________________________________________________________.
    Statement of the Issues on Appeal
    Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    ________________________________________________________________________________________
    Parties
    Appellant(s) (Requesting Party): _________________________________________ ☐Employer ☐Employee
    Address: ________________________________________________________ Phone: ___________________
    Email: __________________________________________________________
    Attorney’s Name: ______________________________________________ BPR#: _______________________
    Attorney’s Email: ______________________________________________ Phone: _______________________
    Attorney’s Address: _________________________________________________________________________
    * Attach an additional sheet for each additional Appellant *
    LB-1099 rev. 01/20                              Page 1 of 2                                              RDA 11082
    Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________
    Appellee(s) (Opposing Party): ___________________________________________ ☐Employer ☐Employee
    Appellee’s Address: ______________________________________________ Phone: ____________________
    Email: _________________________________________________________
    Attorney’s Name: _____________________________________________ BPR#: ________________________
    Attorney’s Email: _____________________________________________ Phone: _______________________
    Attorney’s Address: _________________________________________________________________________
    * Attach an additional sheet for each additional Appellee *
    CERTIFICATE OF SERVICE
    I, _____________________________________________________________, certify that I have forwarded a
    true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described
    in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this
    case on this the __________ day of ___________________________________, 20 ____.
    ______________________________________________
    [Signature of appellant or attorney for appellant]
    LB-1099 rev. 01/20                                 Page 2 of 2                                        RDA 11082
    

Document Info

Docket Number: 2020-05-0697

Citation Numbers: 2021 TN WC 204

Judges: Dale Tipps

Filed Date: 7/21/2021

Precedential Status: Precedential

Modified Date: 7/30/2021